Dr. Cásar Casado Sánchez brings _doctor_10804_years_ of experience with 900+ breast reconstruction procedures performed. The $21,170 package typically covers surgeon's fees, anesthesia, operating room use, hospitalization, and post-operative care. Hospital Ruber Internacional holds JCI and ISO accreditation as part of Quirónsalud Group. Dr. Casado creates personalized treatment plans based on each patient's needs.
Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Dr. Coca specializes in breast reconstruction, having directed the International Symposium on Breast Reconstruction and trained extensively in microsurgery.
Dr. José Luis Martín Del Yerro Coca is a lead plastic surgeon at Quironsalud Madrid. He won first prize at the VI SECPRE meeting for his clinical work. Dr. Yerro Coca specializes in breast reconstruction, augmentation mammoplasty, and aesthetic facial surgery. He has published over 80 scientific papers in national and international medical journals.
Quirónsalud Madrid is the top clinic in Spain and Europe, the largest among Quirónsalud centers by the annual number of patients served.
\n\nSpecialization ― oncology, neurosurgery, heart surgery, plastic surgery, and IVF.
\n\nQuiron Madrid research team carries out studies in the treatment of cancer and neurodegenerative disorders (Alzheimer's, Parkinson's, Huntington's diseases). There is an opportunity to be treated for free as a participant in clinical trials in case of meeting requirements.
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Dr. Agustín Granado Tiagonce performs over 1,000 surgeries annually at his namesake clinic in Madrid. He specializes in facial, body, and reconstructive breast surgery. Dr. Tiagonce practiced in the USA and Mexico. He serves as an Honorary Professor of Surgery at the Autonomous University of Madrid.
Clinica Granado Tiagonce is a Madrid plastic surgery center. The lead surgeon performs all operations for international patients. With 5,000+ procedures over 25+ years, it specializes in breast surgery, facelifts, and body contouring.
Dr. Jose Maria Lasso is a plastic and reconstructive surgeon at Publio Cordon Memorial Hospital in Madrid. He specializes in surgical oncology, performing complex breast reconstruction and sarcoma treatment. He works at a JCI-accredited facility.
He treats conditions like lymphostasis and performs various mammoplasty procedures. His work at Publio Cordon Memorial Hospital combines oncological surgery with aesthetic reconstruction. The clinic is a member of the American Society of Plastic Surgeons.
","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38},{"id":"pls.003","name":"Reconstructive surgeon","illness_kind_id":38},{"id":"sur.007","name":"Surgical oncologist","illness_kind_id":33}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":8570,"alias":"publio-cordon-memorial-hospital","name":"Publio Cordón Memorial Hospital","short_description":"Publio Cordón Memorial Hospital is a multispecialty center in Madrid, Spain. It focuses on cardiology, neurosurgery, and oncology. Founded in 2005, the hospital has over 110 physicians across six departments. Investment exceeds 100 million euros. It is one of the few centers using the Da Vinci 5 surgical robot.
The hospital holds JCI, ESHRE, and FACS accreditations. A hybrid operating room supports complex cardiovascular procedures. Surgeons here performed the hospital's first robotic knee prosthesis surgery. Other technologies include PET-CT with Gallium 68 and 3D maxillofacial planning. International patients get help with medical visas, accommodation, and airport transfers.
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Publio Cordón Memorial Hospital is a multispecialty center in Madrid, Spain. It focuses on cardiology, neurosurgery, and oncology. Founded in 2005, the hospital has over 110 physicians across six departments. Investment exceeds 100 million euros. It is one of the few centers using the Da Vinci 5 surgical robot.
The hospital holds JCI, ESHRE, and FACS accreditations. A hybrid operating room supports complex cardiovascular procedures. Surgeons here performed the hospital's first robotic knee prosthesis surgery. Other technologies include PET-CT with Gallium 68 and 3D maxillofacial planning. International patients get help with medical visas, accommodation, and airport transfers.
","images":[{"base_url":"clinic/6aa9fb2618d55","title":"Reception desk at Publio Cordón Memorial Hospital with staff assisting patient"},{"base_url":"clinic/6aa9fb27b15f9","title":"Doctors reviewing endoscopy and colonoscopy results at Publio Cordón Memorial Hospital"},{"base_url":"clinic/6aa9fb296bbe2","title":"Doctors discussing radiology scans at Publio Cordón Memorial Hospital meeting room"},{"base_url":"clinic/6aa9fb2b71fa4","title":"Linear accelerator for radiotherapy at Publio Cordón Memorial Hospital"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"P.º de la Casa de Campo, 5 28223 Pozuelo de Alarcón, Madrid, Spain"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":114,"year_foundation":2005},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9bd0f432af.jpeg","name":"European Society of Human Reproduction and Embryology","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"Fellow, American College of Surgeons","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"American Society of Plastic Surgeons","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}]}},{"doctor":{"id":18584,"alias":"gemma-pons","name":"Gemma Pons","clinic_id":8570,"first_year_working":0,"created_at":"2026-09-16T02:42:26.272+00:00","short_description":"Dr. Gemma Pons is a plastic and reconstructive surgeon at Publio Cordon Memorial Hospital in Madrid. She specializes in breast reconstruction surgery. Dr. Pons is a member of the American Society of Plastic Surgeons and a Fellow of the American College of Surgeons.
Dr. Pons works at a JCI-accredited hospital, a facility with 114 doctors on staff. Her work follows standards set by the European Society of Human Reproduction and Embryology.
","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38},{"id":"pls.003","name":"Reconstructive surgeon","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0,"operations_performed_count":0,"awards_count":0}},"clinic":{"id":8570,"alias":"publio-cordon-memorial-hospital","name":"Publio Cordón Memorial Hospital","short_description":"Publio Cordón Memorial Hospital is a multispecialty center in Madrid, Spain. It focuses on cardiology, neurosurgery, and oncology. Founded in 2005, the hospital has over 110 physicians across six departments. Investment exceeds 100 million euros. It is one of the few centers using the Da Vinci 5 surgical robot.
The hospital holds JCI, ESHRE, and FACS accreditations. A hybrid operating room supports complex cardiovascular procedures. Surgeons here performed the hospital's first robotic knee prosthesis surgery. Other technologies include PET-CT with Gallium 68 and 3D maxillofacial planning. International patients get help with medical visas, accommodation, and airport transfers.
","images":[{"base_url":"clinic/6aa9fb2618d55","title":"Reception desk at Publio Cordón Memorial Hospital with staff assisting patient"},{"base_url":"clinic/6aa9fb27b15f9","title":"Doctors reviewing endoscopy and colonoscopy results at Publio Cordón Memorial Hospital"},{"base_url":"clinic/6aa9fb296bbe2","title":"Doctors discussing radiology scans at Publio Cordón Memorial Hospital meeting room"},{"base_url":"clinic/6aa9fb2b71fa4","title":"Linear accelerator for radiotherapy at Publio Cordón Memorial Hospital"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Madrid","id":346,"alias":"madrid"},"address":"P.º de la Casa de Campo, 5 28223 Pozuelo de Alarcón, Madrid, Spain"},"rating":{"rating":0,"google":4.9,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":114,"year_foundation":2005},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5db9bd0f432af.jpeg","name":"European Society of Human Reproduction and Embryology","country_code":"BE"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"Fellow, American College of Surgeons","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88bd61a3cbb.jpeg","name":"American Society of Plastic Surgeons","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}]}},{"doctor":{"id":10804,"alias":"casar-casado-sanchez","name":"Cásar Casado Sánchez","clinic_id":6225,"photo":"doctor/68f104f7b5c69","first_year_working":2008,"created_at":"2025-10-16T14:45:09.278+00:00","specialities":[{"id":"pls.001","name":"Plastic surgeon","illness_kind_id":38}],"statistics":{"review_count":0,"review_score":0}},"clinic":{"id":6225,"alias":"hospital-ruber-internacional","name":"Hospital Ruber Internacional","logo":"https://s3.eu-central-1.amazonaws.com/bookimed/clinic_logo/6225-6ac3a2c7a2070.png","short_description":"Hospital Ruber Internacional is a JCI-accredited private hospital in Madrid, Spain. Ranked among Spain's top 6 hospitals by Forbes. Specializes in neurosurgery, orthopedics, and cardiology.
Day 1 - Arrival
\nDay 2 - Pre-Operation
\nDay 3 - Surgery
\nDay 4 - Post-Operation
\nDay 5 - 7
\nWeek 1 - 3 Rehabilitation
\nWeek 4 - 6 Rehabilitation
\nWeek 7 onwards
\nNote: The exact process and recovery time may vary from patient to patient.
"}}},"relations":{"countries":[{"name":"Austria","alias":"austria","iso_code":"AT"},{"name":"Azerbaijan","alias":"azerbaijan","iso_code":"AZ"},{"name":"Brazil","alias":"brazil","iso_code":"BR"},{"name":"Colombia","alias":"colombia","iso_code":"CO"},{"name":"Costa Rica","alias":"costa-rica","iso_code":"CR"},{"name":"Czech Republic","alias":"czech-republic","iso_code":"CZ"},{"name":"Dominican 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It boosts body image and confidence.
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Optional refinements extend this."},"fly_home_after_days":{"min":10,"max":21,"unit":"days","qualifier":"Once discharged, mobile, drains removed or managed, no flap concerns and team clears travel; take VTE precautions."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"After Hospital discharge: First outpatient wound and flap check; drains reviewed if still in place."}},{"purpose":"other","requirement":"conditional","after":{"min":10,"max":21,"unit":"days","qualifier":"After DIEP flap surgery: Drain removal review once output criteria are met."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":84,"unit":"days","qualifier":"After DIEP flap surgery: Healing and activity clearance review."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"After DIEP flap surgery: Result review and discussion of optional refinement."}}],"indications":["Breast absence after mastectomy for breast cancer, immediate or delayed","Breast deformity after lumpectomy or radiotherapy","Risk-reducing mastectomy in high-risk patients (e.g., BRCA mutation)","Prior or planned radiotherapy, where implants are less suitable","Inadequate skin envelope for implants, with adequate abdominal tissue"],"main_risks":["Flap thrombosis or vascular compromise; flap loss uncommon (about 1–3%)","Fat necrosis or partial flap necrosis","Hematoma, seroma, infection, or delayed healing","Abdominal wall weakness, bulge, hernia, or numbness","Mastectomy skin necrosis and altered breast sensation","Asymmetry or contour irregularity needing revision","Venous thromboembolism and anesthesia complications","Long surgery, blood loss, and transfusion"],"pain":"Moderate to significant pain in the first days, mainly at the abdominal donor site, controlled with multimodal analgesia. 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Numbness or altered sensation may persist.","preparation":["Oncologic and plastic surgery planning, including timing","Medical assessment, blood tests, and anesthesia review","CT or MR angiography to map abdominal perforators","Stop smoking and nicotine for weeks before and after","Review medications and supplements, including blood thinners","Fasting before general anesthesia","Pre-operative marking and photographs","Arrange home help and nearby lodging after discharge"],"recovery_timeline":[{"phase":"Hospital stay (about 3-6 nights)","description":"Flap monitoring, drain care, pain control, VTE prevention, and early mobilization with sitting and short walks.","restrictions":["No driving","Avoid pressure or tension on flap and abdomen","Nicotine avoidance continues"]},{"phase":"Weeks 1-6","description":"Home recovery with drains managed until removal, gradual walking, and a flexed-hip posture easing as the abdomen heals.","restrictions":["No heavy lifting","No strenuous or core exercise","Wear supportive garments"]},{"phase":"Weeks 6-12","description":"Ordinary function and desk work fully resume; physical work and exercise return stepwise after clearance.","restrictions":["Heavy lifting and high-impact sport only after surgeon clearance"]},{"phase":"Months 6-12","description":"Swelling resolves, the breast softens, and scars mature; optional refinement can be planned.","restrictions":[]},{"phase":"At any time","description":"Seek urgent care for flap color change or coolness, sudden swelling, fever, wound discharge, chest pain, breathlessness, calf swelling, or severe abdominal pain.","restrictions":[]}],"rehabilitation_days":{"min":28,"max":84,"unit":"days","qualifier":"Ordinary daily function returns after uncomplicated unilateral DIEP; slower with complications or adjuvant therapy."},"result_longevity":"The reconstructed breast is made of the patient's own tissue and is generally long-lasting, changing with weight and aging. Fat necrosis or contour changes may occasionally need revision.","revision_rate_pct":{"min":20,"max":50,"unit":"percent","qualifier":"Later contour, fat grafting, or nipple-related revisions within 1-2 years after unilateral DIEP; many are elective."},"scars":"Breast scar (mastectomy scar or new incision if delayed), a long low horizontal abdominal scar, and a scar around the navel. Small drain marks; scars mature over 12 months or longer.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One primary DIEP free-flap operation with a single hospital admission."},"stages":[{"code":"planning_imaging","label":"Surgical planning and perforator imaging","after":{"min":0,"max":30,"unit":"days","qualifier":"After First consultation: Planning and imaging are scheduled before surgery, counted from the first consultation; timing depends on cancer treatment."}},{"code":"inpatient_monitoring","label":"Inpatient flap monitoring, drain care, and mobilization","after":{"min":0,"max":6,"unit":"days","qualifier":"After DIEP flap surgery: Uncomplicated stay; flap checks continue until discharge."}},{"code":"optional_refinement","label":"Optional contour or nipple-areola refinement","after":{"min":90,"max":180,"unit":"days","qualifier":"After DIEP flap surgery: Conditional, not mandatory; timing depends on healing, swelling, and any adjuvant therapy."}}],"qualifier":"Primary numbers cover only the single DIEP operation. Later refinements are optional, and implant-based reconstruction is outside this profile."},"success":{"metric":"Early flap survival without total flap loss","value":97,"unit":"percent","horizon":"During the initial hospital stay and first weeks","population":"Adults after unilateral DIEP free-flap breast reconstruction in specialist microsurgical centers","evidence_status":"limited"},"techniques":[{"name":"Unilateral DIEP free-flap breast reconstruction (primary profile)","suits_whom":"Patients with enough lower abdominal tissue and suitable perforator vessels who want autologous reconstruction after mastectomy.","recovery":"Several inpatient nights with flap monitoring; ordinary functional recovery takes several weeks."},{"name":"Alternative: implant or tissue expander-based reconstruction (outside primary numbers)","suits_whom":"Patients with adequate skin envelope who prefer a shorter operation or no donor site.","recovery":"Shorter initial stay; may need expansion visits and later implant exchange."},{"name":"Alternative: other flaps (e.g., muscle-sparing TRAM, latissimus dorsi, thigh flaps) (outside primary numbers)","suits_whom":"Patients unsuitable for DIEP because of insufficient abdominal tissue or vessel anatomy.","recovery":"Varies by flap and donor site."},{"name":"Optional nipple-areola reconstruction and contour refinement (outside primary numbers)","suits_whom":"Patients who have healed after breast mound reconstruction and want nipple restoration or symmetry adjustment.","recovery":"Usually short procedures, often day-case; recovery is shorter than for the primary operation."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":4,"max":8,"unit":"hours","qualifier":"Operating time for uncomplicated unilateral DIEP with microvascular anastomosis; longer if combined with mastectomy or complicated by vessel problems."},"initial_assessment_documents":["Front, side and back photos of torso","Mastectomy operative and pathology reports","Oncology treatment summary with radiotherapy dates","Abdominal CT or MR angiography (if available)","Previous abdominal surgery history and scars"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single DIEP operation; about 2-3 weeks total for stay, drains and travel clearance. Follow-ups can be done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Ask how many reconstructive breast surgeries the surgeon has performed","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/breast/breast-reconstruction/selecting-surgeon","host":"theaestheticsociety.org","quote":"How many reconstructive breast surgeries have you performed?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask whether the surgeon has before and after photos of breast reconstruction procedures you can see","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/breast/breast-reconstruction/selecting-surgeon","host":"theaestheticsociety.org","quote":"Do you have before and after photos of breast reconstruction procedures that I can see?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you have two consultations with the treating surgeon before any surgery","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated before you agree to treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that you understand the possible complications and side effects of the 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staff, not the surgeon, is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"make sure you have a consultation with the surgeon (avoid meetings only with sales people)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"A surgeon who cannot show before and after pictures of their work is a warning sign","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"They should be able to show before and after pictures of their work.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Gives your home 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card","source":{"url":"https://www.canada.ca/en/health-canada/services/drugs-medical-devices/breast-implants/what-to-know.html","host":"canada.ca","quote":"You should also receive a product registration card from your surgeon with information about the implant or implants.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You would rather not have reconstruction surgery after mastectomy","name":"Breast prosthesis","source":{"url":"https://my.clevelandclinic.org/health/articles/breast-reconstruction","host":"my.clevelandclinic.org","quote":"Instead, they wear a breast form (prosthesis) inside a special 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nipple-areola reconstruction and contour refinement (outside primary numbers)","how_it_works":{"text":"Surgeons can create a new nipple if needed","source":{"url":"https://my.clevelandclinic.org/health/articles/breast-reconstruction","host":"my.clevelandclinic.org","quote":"If necessary, providers can create a new nipple.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=madrid/procedure=vosstanovitelnaya-hirurgiya-grudi/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"offersBlock":{},"illnessesByOperation":[{"id":3,"alias":"breast-cancer","name":"Breast cancer"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}